Chaos: A Challenge to Refine Systems Theory

Chaos theory may have relevance to marital and family therapy. Some connections are tentatively explored.     

Evaluation of two school-based HIV prevention interventions in the border city of Tijuana, Mexico

This research project examined the individual and combined effectiveness of an HIV prevention workshop and a free condom distribution program in four high schools in Tijuana, Mexico. Adolescents (N = 320) completed baseline measures on sexual practices and theoretical correlates and participated in a two-part study. In Study 1, students were randomly assigned to an HIV prevention workshop or a control condition, with a 3-month follow-up assessment. Results indicate three significant workshop benefits regarding HIV transmission by altering sexual initiation, access to condoms, and traditional beliefs regarding condoms. In Study 2, we set up a condom distribution program at two of the participating schools, and students completed a 6-month follow-up assessment. Results indicate that exposure to the workshop followed by access to the condom distribution program yielded two beneficial results for reducing HIV transmission: moderating sexual initiation and increasing condom acquisition. Access to the condom distribution program alone had no effects on behavioral and psychosocial correlates of HIV transmission. We discuss implications of these results.     

Cognitive-behavioral therapy for obsessive-compulsive disorder: review of treatment techniques

Obsessive-compulsive disorder (OCD) is a chronic, impairing condition with an estimated lifetime prevalence in adults of 2.5%. Controlled treatment trials have demonstrated that cognitive-behavioral therapy (CBT) is an effective intervention for OCD. However, many individuals diagnosed with OCD do not receive appropriate, empirically validated interventions, perhaps due to limited knowledge of CBT among mental health practitioners. This article provides a review of CBT for OCD. Issues related to treatment delivery and assessment are presented and highlighted by an individual example.     

Health belief factors and dispositional optimism as predictors of STD and HIV preventive behavior

Identifying factors predictive of youth's engaging in preventive behaviors related to sexually transmitted diseases (STDs) and HIV remains a prominent public health concern. The utility of the Health Belief Model (HBM) continues to be suggested in identifying preventive behaviors. This study sought to examine the full HBM, including self-efficacy, with regard to STD and HIV preventive behavioral intentions in college students. Self-efficacy was identified as the primary predictor for each of the behavioral intentions (condom use, STD testing, and HIV testing), whereas response efficacy was only predictive of testing intentions. Inconsistent with HBM assumptions, perceived HIV severity was negatively related to HIV testing intentions. Students who perceived HIV as high in severity were less likely to intend to obtain HIV testing. Overall, the utility of the HBM in predicting college students' sexual preventive behavior was unsupported. An argument for a change in the direction of research, away from the continued emphasis on the study of cognitive variables, is made.     

Internet use among community college students: implications in designing healthcare interventions

The Internet has become a commonly used venue for seeking healthcare information. Young adults search the Internet for health information more than any other group, yet little is known about use patterns among community college students. The authors surveyed a diverse community college to assess students' use of the Internet for health-related information. More than 80% had home Internet access, regardless of race or gender. Men and women searched for health information in almost equal numbers. Most students were interested in searching for diet/nutrition topics, and least interested in smoking information. Although the digital divide appears to be closing, varying levels of interest in a variety of important health topics remain. Understanding these differences could guide the design of more effective Web-based health interventions.     

Introduction: moving youth participation forward

Given the emerging interest among researchers, practitioners, and policymakers in youth participation, it is important to examine and assess carefully the promise and challenges of youth engagement.     

Hematopoietic stem cells and aging

Hematopoiesis is a process by which a single cell--called a hematopoietic stem cell (HSC)--has the proliferative potential to give rise to all of the major lineages of blood and immune cells. Stem cells can undergo both symmetric division, which results in two copies of the parent stem cell, and asymmetric division, which results in self-renewal of the parent stem cell as well as production of a daughter cell that is capable of differentiating along a specific lineage. A number of different elements of HSC replication change with age, even though these transformations do not appear to result in hematopoietic deficiencies under normal circumstances. In this Perspective, the author discusses these age-related alterations.